Active NPI
Darcel Dillard-Suite
- Health & Wellness Coach
- Bronx, NY
National Provider Identifier
1922750074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 1136 Neill Ave
Bronx, NY 10461-1328 - Phone
- (718) 518-7600
- NPI assigned
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
1136 Neill Ave
Bronx, NY 10461-1328
Mailing address
1136 Neill Ave
Bronx, NY 10461-1328
Phone (718) 518-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Health, PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
1136 Neill Ave
Bronx, NY 10461
Phone (718) 518-7600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1922750074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 NEILL AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104611328",
"telephone_number": "718-518-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 NEILL AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104611328",
"telephone_number": "718-518-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLARD-SUITE",
"first_name": "DARCEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.